1. Home
  2. Directory
  3. North Carolina
  4. Mount Airy
  5. Obstetrics Gynecology
  6. NPI Profile

DR. ANTHONY JAMES KOEHLER M.D.
NPI 1083622419
Obstetrics & Gynecology in Mount Airy, NC

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
510 S SOUTH ST, MOUNT AIRY, NC 27030(336) 786-4522(335) 789-3025 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Anthony James Koehler M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTHONY JAMES KOEHLER M.D. (NPI 1083622419) is an individual obstetrics & gynecology provider in Mount Airy, North Carolina, licensed in New York (251718) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Baptist, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1083622419
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ANTHONY JAMES KOEHLERCredential: M.D.
Location Address510 S SOUTH STMount Airy, NC 27030-4422
Mailing AddressPo Box 1267Mount Airy, NC 27030-1267 · (336) 786-4522 · Fax (335) 789-3025
Phone(336) 786-4522
Fax(335) 789-3025
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 3, 2006
Last NPPES UpdateJanuary 10, 2014
✔ NPI 1083622419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 251718
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
510 S SOUTH ST, Mount Airy, NC 27030
Open in Google Maps ↗

Other Identifiers 5

Medicare PINA400008624NY
OtherNCA254ANC · Medicare Ptan
Medicare UPING77065NY
Medicaid03085412NY
Medicaid5922426NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony James Koehler M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496718678
PECOS Enrollment IDI20181112000399
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Anthony Koehler reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uwh Of The Carolinas, PLLC
110 mi
Obstetrics & Gynecology
200 PERIMETER PARK DR STE B
Morrisville, NC 27560
  • Reassigned Medicare billing, South Carolina enrollment
  • 105 clinicians in this Medicare group
NPI 1639506470 (919) 334-0150
Carolina Family Care, Inc
123 mi
Internal Medicine
201 W MEETING ST
Lancaster, SC 29720
  • Reassigned Medicare billing, South Carolina enrollment
  • 509 clinicians in this Medicare group
NPI 1275564098 (803) 286-4666
Obhg South Carolina PC
150 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 190 clinicians in this Medicare group
NPI 1538457361 (800) 967-2289
Kraemer Womens Care, LLC
163 mi
Obstetrics & Gynecology
460 CLEMSON RD
Columbia, SC 29229
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Kraemer Women's Care, LLC
  • 26 clinicians in this Medicare group
NPI 1124201280 (803) 438-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHERN HOSPITAL OF SURRY COUNTY
Obstetrics & Gynecology
510 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-4522
NATALIE SUSANNE HALL WHNP
Nurse Practitioner (Women's Health)
510 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-4522
SURRY REGIONAL HEALTH SERVICES, INC.
Obstetrics & Gynecology
510 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-4522
MRS. MOLLY KAY EASTER NP
Nurse Practitioner
510 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-4522
NOVANT HEALTH NORTHERN REGIONAL MEDICAL CENTER, LLC
Clinic/Center (Rural Health)
510 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-4522
NORTHERN HOSPITAL OF SURRY COUNTY
Obstetrics & Gynecology
510 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-4522
DR. HENRY FREDERICK GREGOR M.D.
Obstetrics & Gynecology
510 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-4522
NOVANT HEALTH NORTHERN REGIONAL MEDICAL CENTER, LLC
Clinic/Center (Rural Health)
510 S SOUTH ST
MOUNT AIRY, NC 27030
Surry County (336) 786-4522

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Koehler's NPI number?

The NPI number for Anthony Koehler is 1083622419. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Anthony Koehler located?

Anthony Koehler practices at 510 S South St, Mount Airy, NC 27030. The listed phone number is (336) 786-4522.

What is Anthony Koehler's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Anthony Koehler enrolled in Medicare?

Yes. Anthony Koehler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Anthony Koehler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Koehler reassigns Medicare benefits to 4 organizations: Uwh Of The Carolinas, PLLC (Morrisville, NC), Carolina Family Care, Inc (Lancaster, SC), Obhg South Carolina PC (Greenville, SC) and Kraemer Womens Care, LLC (Columbia, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Koehler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Koehler accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Anthony Koehler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Koehler affiliated with any hospitals?

According to CMS data, Anthony Koehler is affiliated with Prisma Health Baptist.

When was this NPI record last updated?

The NPPES record for Anthony Koehler was last updated on January 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.